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Provides free breakfast and lunch for any kids and teens ages 18 and under (and young adults with disabilities under 21).

Care Coordination/Case Management Services are intended for the high need consumer who has had difficulty maintaining linkages to mental health services and other important supports, such as benefits, housing, advocacy, health care, peer services, or vocational services. SPOA is a uniform referral process which assists the referring party to determine the appropriate level of care coordination services. After the referral is made it is assessed and a determination is made as to the acceptance of the initial referral or referral to another program which may better meet the needs of the individual. Levels of care include: transition case management, care coordination, assertive community treatment, and assisted outpatient treatment.

A decision-making committee to determine eligibility and the appropriate level of services for preschool children aged 3-5. The CPSE is a multidisciplinary team established to conduct meetings to develop, review, or revise the Individual Education Program (IEP) of a student with a disability. The parent or legal guardian is included as a member of the committee.

Provides community outreach and SNAP Free Prescreening, Recertifications, and New Applications.

Provides comprehensive information and referral services.

Grief support group meeting once a month.

A decision-making committee to determine eligibility and the appropriate level of services for preschool children aged 3-5. The CPSE is a multidisciplinary team established to conduct meetings to develop, review, or revise the Individual Education Program (IEP) of a student with a disability. The parent or legal guardian is included as a member of the committee.

Offers customized fitness programs led by experienced instructors as well as a variety of aerobic and strength-building classes.

Provides free breakfast and lunch for any kids and teens ages 18 and under (and young adults with disabilities under 21).

Responsible for septic systems, inspections and permit issuance, drinking water testing, public health hazards and nuisances, clean indoor air enforcement, onsite wastewater treatment system regulation, rabies investigations and vaccinations, insect control, West Nile Virus surveillance. Rabies vaccinations: Conducts free rabies vaccination clinics for dogs, cats and domesticated ferrets in several locations across Cattaraugus County. All Cattaraugus County residents are eligible for these free vaccinations. Notices will be posted on the Cattaraugus County website, through radio, newspaper ads, fliers on community boards around the County. May also contact us to find out when and where the next clinic will be held.

Palliative Care is appropriate for the seriously ill, including children and those undergoing curative treatment. Palliative Care is provided where the patient lives with round-the-clock access to physician, social work, and spiritual care. Working as a team, the client's physicians and palliative care physician will create an individualized care plan that includes:

• More timely comfort, pain, and symptom management
• House calls and in-home visits by physicians and nurses
• Patient-centered decisions and medical care
• Coordinated care between primary and specialized physicians
• Community linkages through social workers and chaplains

Erie County's ATUPA (Adolescent Tobacco Use Prevention Act) Program is part of a comprehensive state wide enforcement program designed to reduce the prevalence of tobacco use, and to attempt to prevent tobacco access to youth less than 18 years of age. The program coordinator maintains an up to date listing of registered and unregistered tobacco retail dealers and vendors (including cigarette vending machines) within the County. All facilities are visited yearly by program personnel to verify that they are properly registered with the New York State Department of Taxation and Finance to sell tobacco products; that proper signage regarding the sale of tobacco products to minors is conspicuously posted; and that tobacco products are properly and safely stored to prevent access to unauthorized individuals. Additionally, at least one compliance check per year with underage youth is done at each facility where tobacco products are available for sale, to verify that such products are not being sold to minors.

Provides screening for benefits programs including Food Stamps/SNAP, HEAP, Medicare Savings Programs, and Medicaid. As appropriate, provides referrals to agencies such as the Social Security Administration, Department of Social Services, and Veterans Service Agency.

Provides local personal emergency response system (PERS).

Offers riders the opportunity for personal growth and development through therapeutic riding and horsemanship. Structured, one hour, off-horse field trips are available for groups of up to 10 participants. Volunteer opportunities available.

Provides Care Management Services to adults receiving Medicaid who have a serious mental illness (SMI), HIV/AIDS, or two chronic health conditions and children's health home case management services.

Offers comprehensive job search and career assistance services. Offers Priority of Service to veterans and their eligible spouses. This means that persons who served on Active Duty in the United States Armed Forces will:

• Be served first by the next available staff member
• Get first priority for jobs and training for which they are eligible and qualified

For more details on Services for Veterans, see: https://dol.ny.gov/services-veterans ##Veteran## ##REENTRY##

Provides primary care (family medicine) in a certified Patient Centered Medical Home that is accessible, and focused on quality and safety.